Mental Health Specialist Jobs

Job Title: Mental Health Parity Analyst

Location: Philadelphia, PA (100% Remote)

Duration: 3 Months Contract (Possible Extension)

MUST have

Worker with a college degree and background preferred

clinical background, payor experience and/or mental health parity experience

Contract role - 3 months minimum position and could be extended based on business need and performance.

Interview Process:

Pre-screen exercise followed by 1 or 2 video interview(s)

What are the major responsibilities of the position?

Serve as the analyst for MHPAEA Non qualitative treatment limit (NQTL) projects

- Meeting/Deliverable management – Kick off, project status/meeting minutes, prepare data requests, facilitate data collection, data review, prepare gap analysis (PPT) results summary

- Communications – Manage email back with vendors and internally to support project completion

- Review vendor responses and compile NQTL findings, highlight potential gaps in compliance, map to existing processes on Med/Surg

What will the contractor actually be working on

Mental Health Parity Audits for self-funded employers.

Analysis and comparison of current NQTL Mental Health/Substance Use Disorder (MH/SUD) limits, processes, MH/SUD coverage vs. medical surgical coverage

What specific skill sets/technologies are absolutely required to be successful in this role?

Strong project management skills

Analytic approach to review and analysis

Critical thinking

Problem solver and independent worker

Proficient with PowerPoint, Excel, Outlook, Microsoft teams, Document Management (sharepointe, TCT)

Understanding of utilization, case and disease management processes (e.g., prior authorization, concurrent review)

Health plan background

Clinical background

What are “nice-to-haves”?

Insurance, brokerage, vendor background

Describe the team and work environment.

Work remotely

Collaborative team – internal meetings from kick-off, analysis and final deliverable

What would be attractive about this position?

Ability to work remotely

Flexible work schedule within delivery timeframe

Perfect for self-directed and motivated individuals

Once project completed, ability to leverage knowledge/process for additional projects

JOB DESCRIPTION IS BELOW:

Manage NQTL portion of parity assessment, including:

- Monitor carrier and vendor responsiveness to questionnaires

- Complete initial review of carrier responses for parity projects

- Draft gap analysis based on documents reviewed

- Collaborate with health management senior reviewer to conduct follow up calls/emails with carriers/vendors as needed for clarification and submission of additional documents

- Support the overall completion of the NQTL component of the report

- Schedule meetings and coordinate efforts of colleagues

- Participation in weekly or bi-weekly project status calls as needed

- Maintain materials/documentation in a manner consistent with WTW work processes and peer review standards

Other requirements:

- 1-2 years’ experience dealing with health and welfare plans, ideally gained in a benefit consulting/brokerage firm or insurance company

- Understanding of health plan utilization/case management processes, network management and pharmacy prior-authorization processes

- Basic understanding of Mental Health Parity NQTLs

- Well-organized and detail oriented

- Strong project management skills

- Demonstrates critical thinking skills

- Self- starter attitude and ability to work individually and as part of a team

- Strong written and verbal communication skills

- Sense of accountability and ownership

- Flexibility and proven ability to identify and resolve issues

- Strong analytical, creative and integrative skills

- Ability to ask the right questions and seek help where appropriate, from colleagues and clients.

- Strong client service orientation and ability to respond to all communications effectively and in a timely manner

• - Excellent Microsoft Office skills, particularly in Excel and Power Point and document management (sharepoint, TCT)